Organization
GROWTH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN COCCHIA DEW LMFT (OWNER)
(203) 707-1277
Entity
Organization
Contact information
Practice address
755 MAIN ST., MONROE, CT 06468
(203) 707-1277
Mailing address
24 EDGEWOOD AVE., MILFORD, CT 06460
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
01710
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952792541
—
CT
Enumeration date
06/27/2017
Last updated
02/12/2019
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